This document is a referral connection form for 18 Stories. It requests contact information for the referrer and details about a referral including name, company, and contact information. It explains that the referrer is eligible for a 10% commission on any projects closed with the referral for 12 months if 18 Stories does not currently do business with the referral, a project is delivered and paid for, and the referrer submits tax documentation. The referrer must sign to acknowledge and accept the terms of the referral program.

1. Referral Connection
your Name:
Home Address:
City, State, Zip
Phone:
Email:
I know an employee of 18 Stories: Y N
18 Stories acquaintance:
Referral Name:
Title/Position:
Company:
Address:
City, State, Zip
Phone:
Fax:
Email:
How I know this referral:
It might be helpful to know:
I understand that by submitting this Referral Connection I am eligible for a 10% referral commission (or a donation
made on my behalf) for each project closed with this referral for a period of twelve month from today’s date. This
opportunity is valid if, and only if:
• 18 Stories does not currently do business with the referral organization.
• 18 Stories delivers and is paid in full for a project(s) with the referral organization.
• I complete, sign and return the provided W-9 documentation in conjunction with my first referral commission
(required for potential 1099 filings).
• I acknowledge and accept the parameters of this program by and through the submittal of this referral.
Name/Signature:
Print & Fax to:
email
or
630.544.5227